Page 160 - CEO Orientation
P. 160
Key Insights Continued
• Obstetrics represents a large proportion of volumes at SJHC & SMH. There appears to be an
opportunity for quality improvement to shift proportion of vaginal deliveries with intervention at
SJHC. Both sites appear to have high rates of C-Sections. Potential risk implications exist
given future shift to QBP.
• There is an opportunity for knowledge sharing of Orthopaedic care as SMH
has a lower LOS for hip and knee. Pathways exist at SMH for 2 day LOS
• The network will provide a spectrum of Ophthalmology services including large volumes of
cataracts at SJHC; SMH performing Vitrectomy and a small inpatient footprint. SMH does
perform some complex cataracts but is not included in QBP funding.
• Significant proportions of Neurosurgery and Trauma activity at SMH comes from Central
East which could represent opportunity for Providence to gain rehab market share for these
patient groups; few volumes are sent to Providence currently.
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